<p> FILE NO.______</p><p>PLANNING AND ZONING COMMISSION, ROCKY HILL, CONNECTICUT APPLICATION FOR APPROVAL OF SUBDIVISION PLAN</p><p>DATE: </p><p>Application is hereby made for the approval of (preliminary) (final) subdivision plan entitled: dated: </p><p>1. Name and address of applicant:</p><p>Tel.</p><p>2. Name and address of owner of record: </p><p>Tel.</p><p>3. Name and address of engineer or surveyor:</p><p>4. Location </p><p>5. Tax Assessor's Map No.: Lot No.: Block No.: </p><p>6. Total Area of proposed subdivision: No. of Lots: </p><p>7. Describe existing structures if any:</p><p>8. Is there any water course within of contiguous to the property?</p><p>9. List any potential hazards within or contiguous to the property (Steep cliffs, easements for high pressure gas lines, power transmission lines, etc.): </p><p>10.List lot numbers and their areas: </p><p>11. Is there a proposed new street or improvement of existing street? </p><p>(a) If so are copies or road profile submitted? (b) If so are copies of drainage plan submitted? </p><p>12. If not owner of record, has applicant been legally authorized to act as agent for the owner?</p><p>13. Has the application fee been submitted? </p><p>Applicant NOTE: All applications and maps to be considered at a meeting of the Commission must be in the hands of the Secretary of the Commission at least fourteen (14) days before said meeting.</p>
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